Benjamin J Lin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54173 Issued in CA

Practice address

3409 Calloway Dr Unit 402
Custom Dental
Bakersfield, CA 93312-2529

Phone

(661) 387-6577

Fax

(661) 387-6548

NPI assigned

Jun 1, 2006

Last updated

Jun 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benjamin J. Lin, D.M.D., Inc.

  dba Custom Dental

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1942498746
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1275570079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 CALLOWAY DR UNIT 402",
            "address_2": "CUSTOM DENTAL",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122529",
            "telephone_number": "661-387-6577",
            "fax_number": "661-387-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 CALLOWAY DR UNIT 402",
            "address_2": "CUSTOM DENTAL",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122529",
            "telephone_number": "661-387-6577",
            "fax_number": "661-387-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adele Mata Limon, RN
• Jose Antonio Limon, LMFT, APCC
• Jonathan Lin-Wu
• Aiqi Lin, NO
• Aye Thida Lin, M.D
• Emily Mae Lin, FNP-C
• Hua Lung Lin, M.D.
• Hung-Yi Lin, OTR
• Jian Cheng Lin, MD
• Lulu Joy Lin

• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.